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Korean Journal of Epidemiology 1991;13(2): 197-203.
A rural health study through screening approaches.
Gil Soo Son, Yong Tae Yum, Soung Hoon Chang
Screening deseases for community health is the search for previously unrecognized diseases or physiologic conditions whether they are caused or influenced by work-associated factors or not. In Korea it has been of a large-scale prevention effort by employers of which industries hired more than 5 workers each. Screening results may be useful in a surveillance system to be analyzed epidemiologically for the protection of the community people both living in rural and urban areas. However, the safety and health law for industry of Korea excluded rural people from target of screening. Unique way to cope with is approaching for research purpose of selected study areas in terms of pilot primary health care programs. In this study, a total of 4,500 rural people who were living in Yeoju Kun, Kyonggi Province are selected as research target people asking to participate in screening test. Of them, the total of 2,753 persons participated in the screening tests and interview. The results were as follows. 1. Examinee consisted of 45.8% of male and 54.2% of female where as standard population showed 49.6 v/s 50.4. 2. Highest participation rate of 18.7% was shown in the 50~54 age group. However, participation rate ratio of 2.93 was shown in the age group of 55~59. 3. The highest participation rate ratio by educational level was shown in primary school group and in order of no education, middle school and high school group. 4. Most of participation (80.7%) were aggriculture group whereas rate ratio was highest (2.70) in employee including simple labourers. 5. Motivation of participation was to confirm their health in 40.1% and rest of them was to check their bad or ill health. 6. Most of participation (94.9%) expressed the regular check-up (screening) would be necessary. 7. According to the screening tests 20.9% of hypertensives, 7.8% of hearing defect, 1.4% of positive urine sugar, 11.4% of abnormally high sugar level in blood, 0.1% of positive urine protein, about 2% of abnormal liver function tests, 5.0% of positive HBsAg, 13.6% of Anti-HBs and 2.5% of active lung tuberculosis were detected.
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